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Suggest Treatment For Intermittent Low Grade Sensation On Neck And Visual Hallucination

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Posted on Wed, 28 Jan 2015
Question: i have had a intermitten very low grade sensation on the right side of my nek close to the bottom of my ear foro about 10 days . I became aware of it at the same time I had a feeling of ear infection in this ear. I went to my ent do 2 weeks ago who scoped my nose and found an infection in my exchutcheon ( sp) tube , I took a 3 day zpak and got relief rather quickly although I sometimes have a fullness in both ears, but I feel ok earwise...
yesterday I expericenced a 5 minute visual hallucination followed by a super low grade headache which has been lingering as of now. I went immediately to a surgical opthamloigst who exaimed me and attributed same to igrane associated..( i don't get migranes and told him this ). I have no health issues , am a 62 yr old active male, work out w/ weights cardio 5x week, take 10-15 mg altace daily for high bp( was 140/90, now 120/80. opthamlomight wrote my doc ( away) re possible carotid evaluation. am I in any danger? YYYY@YYYY
doctor
Answered by Dr. Rakesh Sharma (4 hours later)
Brief Answer:
Mild Swelling still persisting in eustachian tubes.

Detailed Answer:
Hello,
Welcome to HCM.
I am Dr Rakesh Sharma answering your query.
I can understand your concern.
I have gone through the details provided .
It seems your fullness of ears seems to be because of mild inflammation still present in your eustachian tubes.
Though it may not cause visual hallucination but it may cause head ache , and in turn may cause mild hallucination.
If I were your treating doctor,I would have prescribed you antibiotics for another 3 to 5 days with anti inflammatory like ibuprofen.
There is absolutely nothing to worry about carotid evaluation.
You are not in any danger.
It is a very minor diagnostic procedure and it may be useful to rule out any abnormality that can trouble you in future.
Hope I have answered your query.
If any thing else you are welcome.
Good luck.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rakesh Sharma (34 hours later)

thank you for your reply.
I went for a follow up a week lter with the ent. there was no infection present. I have a transient soreness, sensation on the side of my neck. seems like a very low grade burning some time. I can feel in the side of my neck when I swallow.
I have had issues with neck straining from my working out with weights. this sensation is making we worry about some issue with my arteries, however I believe have read that pain etc is not a symptom of an artery issue. any clarification?
doctor
Answered by Dr. Rakesh Sharma (1 hour later)
Brief Answer:
Symptoms May be muscular.

Detailed Answer:
Hello again,
As you have been cleared by ENT for infection then Your sensation in neck may not be because of eustachian tube.
You have read correctly, that the arteries do not cause any symptom like pain, it may be muscular instead.
The low grade burning is also not symptom of artery,but may be of muscular strain.
Over all I feel that all your issues are muscular in nature, and your carotid study is also going to be normal.Good luck.
Hope you have answer to your query, if any thing else you are welcome,or you can close the question and rate the answer.
Good luck.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rakesh Sharma (1 hour later)
thank you kindly for your response.
are there any other non muscular/nerve possibilities for this? i.e, a temporal artery dissection or such other vascular explanation?
doctor
Answered by Dr. Rakesh Sharma (2 hours later)
Brief Answer:
May be nerve , but not vascular.

Detailed Answer:
Hello again.
There are remote chances of nerve involvement but not arterial in my opinion.
There is no chance of vascular involvement.
In my opinion muscular fits the most.
Hope I have answered your query.
If any thing else you are welcome, or you can close the query by rating the answer.
Good luck.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Rakesh Sharma

General & Family Physician

Practicing since :1982

Answered : 728 Questions

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Suggest Treatment For Intermittent Low Grade Sensation On Neck And Visual Hallucination

Brief Answer: Mild Swelling still persisting in eustachian tubes. Detailed Answer: Hello, Welcome to HCM. I am Dr Rakesh Sharma answering your query. I can understand your concern. I have gone through the details provided . It seems your fullness of ears seems to be because of mild inflammation still present in your eustachian tubes. Though it may not cause visual hallucination but it may cause head ache , and in turn may cause mild hallucination. If I were your treating doctor,I would have prescribed you antibiotics for another 3 to 5 days with anti inflammatory like ibuprofen. There is absolutely nothing to worry about carotid evaluation. You are not in any danger. It is a very minor diagnostic procedure and it may be useful to rule out any abnormality that can trouble you in future. Hope I have answered your query. If any thing else you are welcome. Good luck.